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Interstitial nephritis


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Definition

Interstitial nephritis is a kidney disorder in which the spaces between the kidney tubules become swollen (inflamed). The inflammation can affect the kidneys' function, including their ability to filter waste.


Alternative Names

Tubulointerstitial nephritis; Nephritis - interstitial; Acute interstitial (allergic) nephritis


Causes, incidence, and risk factors

Interstitial nephritis may be temporary (acute) or it may be long-lasting ( chronic) and get worse over time.

The following can cause interstitial nephritis:

  • Allergic reaction to a drug (acute interstitial allergic nephritis)
  • Analgesic nephropathy
  • Long-term use of medications such as acetaminophen (Tylenol), aspirin, and nonsteroidal anti-inflammatory drugs (NSAIDS). This is called analgesic nephropathy
  • Side effect of certain antibiotics (penicillin, ampicillin, methicillin, sulfonamide medications, and others)
  • Side effect of medications such as NSAIDs, furosemide, and thiazide diuretics



The acute form of interstitial nephritis is common. It is most often caused by side effects of certain drugs. This disorder may be more severe and more likely to lead to chronic or permanent kidney damage in elderly people.



Review Date: 08/09/2009
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).

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